Carl v. Lamb v. James B. Peake

22 Vet. App. 227, 2008 U.S. Vet. App. LEXIS 908
CourtUnited States Court of Appeals for Veterans Claims
DecidedAugust 7, 2008
Docket05-3459
StatusPublished
Cited by2 cases

This text of 22 Vet. App. 227 (Carl v. Lamb v. James B. Peake) is published on Counsel Stack Legal Research, covering United States Court of Appeals for Veterans Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carl v. Lamb v. James B. Peake, 22 Vet. App. 227, 2008 U.S. Vet. App. LEXIS 908 (Cal. 2008).

Opinions

LANCE, Judge:

The appellant, veteran Carl V. Lamb, appeals through counsel an August 18, 2005, decision of the Board of Veterans’ Appeals (Board) that denied an effective date earlier than December 11, 1995, for the assignment of a compensable rating for post-traumatic stress disorder (PTSD) and rejected the appellant’s motion to revise an August 1957 regional office (RO) decision on the basis of clear and unmistakable error (CUE). The parties each filed briefs, and the appellant filed a reply brief. Thereafter, the Court heard oral arguments in the case. For the reasons that follow, the Court will affirm the Board’s determination that the August 1957 RO decision is final. Further, the Court holds that the Board improperly dismissed for insufficiency of pleading two separate the[229]*229ories of CUE. The Court holds the Board’s failure to consider Mr. Lamb’s assertion of CUE on the basis of a posh-1957 precedent in law to be nonprejudicial and will affirm the Board’s dismissal; however, the Court will remand to the Board Mr. Lamb’s assertion of CUE in the 1957 Board decision on the basis of an incorrect application of regulations in effect at the time for adjudication consistent with this opinion.

I. FACTS

The appellant served on active duty in the U.S. Marine Corps from August 1949 to December 1951. Record (R.) at 23. He filed his original application for benefits in December 1951 and provided the name and address of his parents in Jacksonville, Arkansas. R. at 108. In September 1952, he was granted service connection for chronic anxiety reaction, rated as 10% disabling. R. at 128. However, the appellant did not begin receiving any payments from YA pursuant to this award because his benefits were withheld until the value of those payments equaled the severance pay received at separation. R. at 8. In April 1954, VA recorded the appellant’s notification to VA that he had changed his address from his parents’ Jacksonville, Arkansas, address to Kings Trailer Court in Bristol, Virginia. Supplemental (Supp.) R. at 4. Mail delivered to the trailer court was received at the trailer court office to be picked up there by residents. R. at 721. While the appellant’s permanent address was at the trailer court, the appellant often spent long periods away from home working temporary jobs. R. at 721.

In July 1957, the RO sent a letter to the appellant at the Bristol, Virginia, address instructing him to report for a VA examination. Supp. R. at 5. The notice letter was returned unclaimed. Supp. R. at 6. In August 1957, the RO sent another letter to the appellant stating that because he had failed to report for the scheduled examination, it was necessary to discontinue the payments on his award that had been applied to the recovery of his severance pay. R. at 136. This letter was also returned unclaimed. R. at 552. At the time his benefits were severed, the appellant had not completed the recoupment process and had not received any payments from the Secretary. R. at 8.

In December 1995, the appellant filed a claim for service connection for chronic anxiety reaction. R. at 139. In June 1996, the RO recognized service connection for PTSD, rated 10% disabling, effective December 1995. R. at 206-07. In doing so, the RO determined that the appellant’s PTSD was the same condition that had been “formerly diagnosed as anxiety reaction” and that had been suspended and rated as noncompensable since August 1957. R. at 207.

The appellant initiated and perfected an appeal of the effective date assigned to his disability rating in the June 1996 RO decision. R. at 216, 248. He also filed a motion to revise the August 1957 RO decision on the basis of CUE, specifically alleging that he did not receive any letters relating to the suspension of his benefits because VA had not made reasonable efforts to locate him in violation of the due process clause of the Fifth Amendment to the U.S. Constitution and, therefore, he had good cause for not reporting to the scheduled examination. In a 1997 hearing before the Board, the appellant testified that he never received either the July or August 1957 letter regarding the suspension of his benefits. R. at 388.

After an extended procedural history, the Board issued the decision on appeal, which determined that there was no statutory or regulatory authority requiring VA “to issue a notice to a veteran at any location other than the last known address [230]*230of record.” R. at 14. Accordingly, the Board concluded that the 1957 decision was final and that the effective date assigned to the appellant’s disability rating could not be earlier than the date of his 1995 claim. The Board also found that the appellant’s due process argument was merely a vague allegation of error that did not rise to the level of CUE and was, in essence, an allegation that VA breached its duty to assist, which can not be the basis for revising a final rating decision based on CUE. R. at 13-15.

II. ANALYSIS

Initially, the Court observes that it is presented with two distinct notice arguments in two distinct postures. First, the appellant argues on direct appeal of his current effective date decision that the August 1957 RO decision never became final because the Secretary failed to make constitutionally adequate efforts to provide him with notice of the decision as required by the Fifth Amendment to the U.S. Constitution.1 In the alternative, he argues that if the 1957 RO decision is final, then the Board erred in dismissing his CUE motion, asserting that VA violated its suspension regulation by relying on his failure to attend a physical examination to suspend his payments because the Secretary failed to make adequate efforts to notify him of the scheduled examination, and that he had “good reason for not reporting for the examination.” Appellant’s Brief (Br.) at 8. At oral argument, the appellant conceded that if the 1957 decision did not become final, then it cannot be the subject of a CUE motion. Nonetheless, he argued that his notice argument might still prevail as to the consequences of failing to report for an examination, even if it failed as to the finality of the RO decision. Given that the viability of appellant’s CUE argument depends on whether the 1957 RO decision became final, we turn to that issue first.

A. The Finality of the 1957 RO Decision

It is now well established that if a claimant is not properly notified of an RO decision and how it may be appealed, then the time to appeal that decision is tolled. See Ingram v. Nicholson, 21 Vet.App. 232, 241 (2007); Hauck v. Brown, 6 Vet.App. 518, 519 (1994). In such an event, the next time the RO adjudicates entitlement to the same benefit, it is merely continuing the still-pending claim and, therefore, a Notice of Disagreement filed after proper notice of the next RO decision puts the matter into appellate status. See Myers v. Principi, 16 Vet.App. 228, 236 (2002). However, the finality of a prior RO decision is a factual issue that neither the Secretary nor the Court need resolve unless and until it becomes relevant to a proper claim or collateral attack seeking benefits. See Ingram, 21 Vet.App. at 254; DiCarlo v. Nicholson, 20 Vet.App. 52, 55 (2006). In this case, if the appellant is correct that the 1957 RO decision never became final because of a lack of proper notice, that would affect the date of the claim that led to the current award and, therefore, the earliest potential effective date for the award properly on appeal.

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Bluebook (online)
22 Vet. App. 227, 2008 U.S. Vet. App. LEXIS 908, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carl-v-lamb-v-james-b-peake-cavc-2008.